Patients may face several challenges in performing IADLs, including: - Cognitive impairments: such as dementia or Alzheimer's disease, which can affect memory, problem-solving, and organizational skills. - Physical limitations: such as arthritis, stroke, or mobility issues, which can hinder the ability to perform tasks like shopping or housework. - Sensory deficits: such as vision or hearing impairments, which can make it difficult to manage medications or handle finances. - Emotional and mental health issues: such as depression or anxiety, which can reduce motivation and energy to perform daily tasks. Nurses must be aware of these challenges and work with patients and their families to find solutions and provide support.